Mobile Storage Raleigh, Cary, Durham, Apex, Chapel Hill, Fuquay


	DEALERSHIP APPLICATION Applicant Name:________________________________ DL#_____________ State ________ Address: _____________________________ Business Phone: ________________ City: _____________ State:_____ Zip:____ Mobile Phone:__________________ Email:________________________________ Home Phone: __________________ Partner Name: _______________________________ DL#_____________ State ________ Address: _____________________________ Mobile Phone: _________________ City: _____________ State:_____ Zip:____ Home Phone: __________________ Partner Involvement: _____Active______ Passive Present Business Experience Company: ____________________________ Position: ____________________ Address: ____________________________________________________________ Describe experience: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Previous Business Experience Company: ____________________________ Position: ____________________ Address: ____________________________________________________________ Describe experience: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Partner Business Experience Company: ____________________________ Position: ____________________ Address: ____________________________________________________________ Describe experience: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ General Information 1. Have you ever owned, operated or worked for a storage rental operation? ___Yes ___ No 2. What date are you interested in starting a STUFF IT Mobile Storage Dealership? __________________ 3. What location(s) are you interested in? _______________________________________________________________________ 4. Do you have sufficient cash flow and collateral to finance the purchase of enough STUFF IT Mobile Storage Units to adequately service your desired location(s) assuming you will need 3 units per 1,000 of the area’s population? 5. Describe the specific background and experience that you would like STUFF IT Mobile Storage to know when considering your application. (Include partner, if applicable) ________________________________________________________________________________________________________________________________________________ 6. Have you or your partner ever been convicted of a crime, other than minor traffic violations? ___Yes ____No If Yes, please explain: ________________________________________________________________________ ________________________________________________________________________ 7. Have you or your partner been involved in bankruptcy ? ____Yes ____No 8. Are you or your partner involved in any pending litigation? ____Yes ____No If yes, please explain: ________________________________________________________________________ ________________________________________________________________________ 9. What legal business name will you be operating under?______________________ ________________________________________________________________________ 10. What type of legal entity is it? ____Sole prop. ____LLC ____Corp. ____S Corp. 11. If an LLC or corporation, what state is it registered in? ___________________ 12. List owners or partners % ownership _______________________ ___________ _______________________ ___________ _______________________ ___________ Location Information: 1. What is the address of your storage location? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. Does the location include a warehouse? ____yes ____no If yes: # of sq. feet for storage? __________________ Climate controlled? ____yes ____no Security system? ____yes ____no Accessible to the public? ____yes ____no 3. Is your storage lot fenced for outside storage? ____yes ____no If yes: Height of fence? ________ Security lights? ____yes ____no Security system? ____yes ____no Accessible to the public ? ____yes ____no Gravel or paved lot? ___________ Outside dimensions of lot? _____________ 4. Are you planning to use a rollback service to transfer mobile storage units or do you have your own truck? _______________________________________________ 5. We recommend using a rollback truck with a 24,500 lb. GVWR and a 21ft steel bed with removable rails. Most of the 650, 6500, 4300 and 4700 trucks will work. Using the 550 or 5500 series trucks may run the risk of overloading. If you have your own truck, what type is it?__________________________________ ________________________________________________________________________________________________________________________________________________ 6. List the other mobile storage competitors in your area_______________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 7. Have you checked the competitor’s rental and transfer rates? ____yes ____no 8. Attach a list of the zip codes included in your service location, and include a map of the service area. By signing below, I understand that all of the information submitted in connection with this application, including any financial representations made in this application, are accurate as of the date shown below and is being provided solely for the purpose of consideration for a STUFF IT Mobile Storage Dealership. I further understand that this application does not constitute an agreement for a Dealership and that the information contained herein will be held in the strictest confidence and will not be forwarded to a third party without my prior permission. Authorized Signature: ____________________________ Date _________________ Authorized Signature (Partner, if applicable):_________________________________ Date:__________________ Send Application To: STUFF IT Mobile Storage, L.L.C. 103 Rupert Road Raleigh, NC 27603 Attn: R. Holloway